HCMH Diversified Management Corporation

Primary specialty

PharmacyTaxonomy code 333600000X

License

60005309A Issued in IN

Legal business name

HCMH DIVERSIFIED MANAGEMENT CORPORATION

Doing business as

Nettle Creek Neighborhood Pharmacy

Practice address

25 West Main St
Hagerstown, IN 47346-1214

Phone

(765) 521-1366

Fax

(765) 521-1555

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul F Janssen

Title

President

Phone

(765) 521-1508

Specialties & licenses 1

Addresses

Other names 1

• Nettle Creek Neighborhood Pharmacy Doing business as

Tax ID family

HCMH Diversified Prof L2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• HCMH Diversified Management Corp

  dba Freds Neighborhood Pharmacy

  • Community/Retail Pharmacy
  • New Castle, IN
  • NPI 1861413817
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447337530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WEST MAIN ST",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461214",
            "telephone_number": "765-521-1366",
            "fax_number": "765-521-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WEST MAIN ST",
            "city": "HAGERSTOWN",
            "state": "IN",
            "postal_code": "473461214",
            "telephone_number": "765-521-1366",
            "fax_number": "765-521-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCMH DIVERSIFIED MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-521-1508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IN",
            "license": "60005309A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nettle Creek Neighborhood Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gray Funeral Home Inc (Culberson Funeral Home Inc)
• Guardian Home Care, Inc
• Hagerstown Family Dentistry
• Hagerstown Spine and Rehab
• James L Harper, OD
• James Michael Laboyteaux
• Kelly Lynn Landis, FNP
• Kerri Sue McTarsney, CADAC II, BA
• Midwest Hearing & Audiology, Inc.
• Kimberly Dawn Miller, FNP-C

• Pharmacy in Hagerstown, IN
• Providers in Hagerstown, IN by specialty
• Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.